Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Smith, Vicki

Smith, Vicki was paid $143K by Medicaid between Jan 2018 and Jul 2020, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoSMITH, VICKI
PITTSFIELD, MA 01201
33aNPI1629060298assigned 08/18/2005
33bProvider typePediatrics Physician
28Total paid$143K
24GClaims4,533
24DCodes billed27
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#341 of 1,273
Median peer was paid$24K
This provider vs. median6.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20181,967$81K
20191,863$51K
2020703$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42% 885 777 $60K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29% 440 401 $42K
96127 7.0% 662 619 $10K
90460 Immunization administration through 18 years of age via any route, first or only component 6.9% 299 296 $10K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 3.3% 503 499 $5K
99173 3.2% 216 216 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.2% 248 240 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.6% 24 24 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.4% 80 77 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 15 15 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 13 13 $1K
92551 <1% 133 132 $1K
15 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 64 $793.60
92567 <1% 18 $205.74
1000F <1% 17 $170.00
96160 <1% 14 $56.70
H0049 Alcohol and/or drug screening <1% 16 $15.00
1033F 0% 78 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 93 $0.00
1039F 0% 35 $0.00
G8482 Influenza immunization administered or previously received 0% 95 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 26 $0.00
1030F 0% 98 $0.00
1031F 0% 187 $0.00
3008F 0% 200 $0.00
2000F 0% 47 $0.00
1220F 0% 27 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.